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CARE COORDINATOR-QA SPECIALIST (Nonprofit)
San Diego, CA 92114
Recruited by: Dennis Montero | Acting HR Manager - Recruitment/Talent | Neighborhood House Association See all my Jobs

  • Hiring Company: Neighborhood House Association
  • Industry: Nonprofit
  • Compensation: Hourly: $30-39/hr
  • Expires: Sep 19, 2019
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Job Description

POSITION PURPOSE:
Under the general supervision of the Program Director – Mental Health, assists with the development and maintenance of the program of quality assurance (QA) and improvement (QI) processes, including overall documentation of the program’s QA/QI contracted components, chart compliance, and internal pre-audits of the program’s medical records. Provide updated assessment, client plans and complete discharge summaries as needed. May also provide other clinical duties such as, but not limited to, individual and triage services.

EXAMPLES OF ESSENTIAL DUTIES:
The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this position.
• Develops procedures that are in line with contracted requirements and needs;
• Maintains and evaluates quality services that are in contract compliance with funding sources;
• Reviews chart files to ensure contractual compliance;
• Assists in creating, updating and maintaining program policies and procedures;
• Assists Department, Program Director and Program Coordinators with contract compliance and quality assurance;
• Provides contract compliance/statistical trainings when needed;
• Conducts billing audits and initiates corrections when necessary;
• Assists with internal QA/QI Peer Review process;
• Tracks QA/QI activity, provides feedback and ensures timely corrections are made on hard and electronic client files;
• Attends and participates in required meetings/trainings and performs other duties as required to meet program quality goals.

DESIRED MINIMUM QUALIFICATIONS:
Knowledge of:
• Clinical assessment of clients with severe mental illness, client plan development, clinical care coordination principles, and best practices;
• Quality assurance principles and best practices;
• Utilization Management processes and guidelines;
• San Diego County Behavioral Health Bio-psychosocial Rehabilitation (BPSR) guidelines and recovery treatment modalities;
• San Diego County Behavioral Health medical record documentation guidelines;
• The Cerner electronic health record system for clinical documentation;
• Cultural and socio-economic issues relevant to providing appropriate rehabilitation and recovery services to special population groups, including Latino, African-American, and LGBTQ communities;

Ability to:
• Analyze and make sound recommendations on complex clinical data;
• Review and evaluate clinical medical records and make sound recommendations for improvement;
• Understand, interpret, explain and apply NHA, state, federal, and various funding sources’ laws and regulations governing mental health specialty services under Title 9;
• Communicate effectively with staff, managers, clients/participants, and individuals of varying levels outside of the department and organization;
• Establish and maintain effective working relationships with all levels of Association management, employees, officials of agencies and governmental organizations, outside auditors, consultants, and others encountered in the course of work,

Experience and Training:
A typical way of obtaining the required experience and training is through the completion of a Master’s degree in Social Work or Counseling from an accredited university, and at least two years of clinical experience in a behavioral health setting. Experience writing behavioral health assessments, client plans, discharges, and overall clinical documentation using the Cerner electronic health record system, and experience in diagnosing severely mentally ill adults and/or those suffering from co-occurring disorders required. Demonstrated leadership and problem-solving abilities, supervisory skills, creativity, and public speaking preferred.

CERTIFICATIONS, LICENSES, & SPECIAL REQUIREMENTS:
Licensed (LCSW, MFT, Ph.D.) preferred. Currently registered (or has the ability to register) with the Board of Behavioral Science Examiners. Valid Class C California driver’s license and current California automobile insurance. Bilingual – (Spanish/ English) preferred. Experience working with Latino and African-American population highly desirable. TB test required upon hire and must be maintained every four yea

APPLICATION SUBMITTAL INSTRUCTIONS:
Please apply on the Agency website at www.neighborhoodhouse.org. Applications must be fully completed (per instructions), signed, and dated when submitted. Any applicable supplemental application questions and/ or certifications must be attached to the application at the time the application is submitted. All statements on the application will be subject to verification and investigation prior to employment. In order for your education or certification(s) to be considered, you must attach a copy of your official degree transcripts or diploma or foreign equivalency report and/or certification to your application. Please only submit the documents required.

NOTE: Only those candidates being considered will be contacted for an interview and reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions of job on a case by case basis.

ABOUT NHA:
The Neighborhood House Association is a non- profit organization. Head Start positions are funded in whole or in part by money provided through the State and Federal Government. Additionally, some Social Service Program positions may be funded in whole or in part through grant funds. Because positions and salaries may be funded through grants, and State and Federal funds ongoing employment will be contingent upon the continued receipt of these funds.

BENEFITS:
Eligible employees receive the following benefits:
• Vacation;
• Sick leave;
• 13 paid holidays;
• Two (2) personal days;
• Four (4) days annual bereavement leave;
• 401K Retirement Plan;
• Medical;
• Dental;
• Flexible Spending Account (FSA);
• Life & Disability insurance;
• Supplemental Life & Voluntary Products;
• Social Security;

**Medical and dental benefits are provided to regular employees who work a minimum of 30 hours per week.**

INTRODUCTORY PERIOD:
All regular appointees serve a six (6) month introductory period.

CITIZENSHIP/IMMIGRATION STATUS:
In accordance with the Immigration Reform and Control Act of 1986, Neighborhood House Association hires only U.S. citizens and others lawfully authorized to work in the U.S.

This Job Announcement is not an offer of employment. The provisions of this job announcement do not constitute an express or implied contract. Any of the provisions contained in this job announcement may be modified or revoked without notice. Any person who is hired may voluntarily leave their employment upon giving proper notice, and may be terminated by the Agency at any time and for any reason. Any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Please note that offers of employment are only valid if they are made by the Human Resources Department